Loss of Pigmentation in my Areolas After Using Brava System? (photo)

I started using Brava System in December and stopped in April. It´s been 6 months now since the last time I used it. I had some skin issues that caused the skin to "scab" on the areolas and this affected the natural pigment of my areolas. I started to get skin irritation to the areola. When I stop using it, the skin in my areolas were like a big scab. I used a lot of vaseline to keep them moisturized but my skin started falling off slowly untill it was all gone. Will the color return to normal?

Doctor Answers 7

Loss of Pigmentation after BRAVA? #breastimplants

The Brava is a new system so you will not find much about this. I can only ascertain that you basically caused a wound to the areola that eventually scarred. If it has been more than 6 months you will not likely get the pigment back. You might need a tattoo to fill in the color.

Scottsdale Plastic Surgeon
5.0 out of 5 stars 49 reviews

Loss of Pigmentation in my Areolas After Using Brava System?

Sorry to say the color is a t its endpoint in the return to normal. Yes, I have seen this issue with the Brava system though very rarely. Only treatment is accepting or color for tattoo effect. Sorry. 

Darryl J. Blinski, MD
Miami Plastic Surgeon
4.6 out of 5 stars 174 reviews

Loss of pigmentation after BRAVA

I have not heard of this as a problem.The scabbing and the loss of pigmentation sounds like some sort of damage to the deep dermis. Some amount of pigment should return with time. Although 6 months is pretty reasonable waiting a little longer may not be such a bad option.

Norman Bakshandeh, MD, FACS
New York Plastic Surgeon
4.9 out of 5 stars 14 reviews

Nipples scabbed after Brava

Actually there is not much information on this issue, but it might have been caused by lymphatic or vascular congestion in the areolar tissue. The crusting and loss of the outer or epithelial layer of the skin often results in loss of pigmentation, like a watermark in the injured skin and might be permanent, though recovery of the skin can take place over a year or longer. We would hold off on any treatment such as a tattoo.

Peter E. Johnson, MD
Chicago Plastic Surgeon
4.0 out of 5 stars 43 reviews

Loss of Pigmentation

Although this particular occurrence is not a listed complication for Brava users, dermatitis is, and the skin issues seem to be a possible cause for the pigment changes. If six months have passed without improvement, I would not expect further return of pigment.

Thank you for your question, best wishes.

Jourdan Gottlieb, MD
Seattle Plastic Surgeon
4.6 out of 5 stars 45 reviews

Areola Pigmentation

You might consider having the areola tattooed.  Since it has been 6 months and the pigmentation has not returned, it is doubtful it will.

Robert E. Zaworski, MD
Atlanta Plastic Surgeon
4.8 out of 5 stars 62 reviews


It is unlikely that the pigmentation will return if has not done so by 6 months. Certainly by 12 months you would see the healing completed

Michael Hueneke, MD
Nashville Plastic Surgeon
4.9 out of 5 stars 63 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.